Patient Access Representative

Process health plan related data and information using automated systems within established production and quality standards. Process group level changes such as renewals, new group installations, billing unit updates, group name, and address changes, benefit and rate information updates. Identifies and resolves issues with enrollment information and member eligibility.

Responsibilities:

Verifies accuracy of entered data against source documents

Researches information as appropriate to resolve problem encounters

Regularly contacts internal and external customers and business partners to verify or obtain additional information to complete processing work

Makes decisions based on review of source documents for routine and difficult processing issues

Assists with duties as required to support department on an as-needed basis

Accesses and updates many complex computer screens

May be assigned specialized tasks and projects

May be asked to review documentation and provide feedback

Adheres to state and federal regulations

May act as mentor to new team members